Healthcare Provider Details

I. General information

NPI: 1689553653
Provider Name (Legal Business Name): RELIABLE HOUSING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16225 N 30TH ST UNIT 2
PHOENIX AZ
85032-3057
US

IV. Provider business mailing address

16225 N 30TH ST UNIT 2
PHOENIX AZ
85032-3057
US

V. Phone/Fax

Practice location:
  • Phone: 602-935-5997
  • Fax:
Mailing address:
  • Phone: 602-290-3883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LOLETHA ECKFORD
Title or Position: DIRECTOR
Credential:
Phone: 602-935-5997